. Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank
Chapter 21: Peripheral Vascular System and Lymphatic System
Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition
MULTIPLE CHOICE
1. As the arteries are the vessels through which the heart pumps oxygenated blood to the body, it
is important that arteries are:
a. Large in diameter
b. Strong tough and tense
c. Thinner walled vessels
d. Controlled by skeletal muscles
ANS: B
The heart pumps freshly oxygenated blood through the arteries to all body tissues. The
pumping of the heart makes this a high-pressure system. The artery walls are strong, tough,
and tense to withstand pressure demands. Arteries contain elastic fibres, which allow their
walls to stretch with systole and recoil with diastole. Arteries also contain muscle fibres
(vascular smooth muscle), which control the amount of blood delivered to the tissues. The
vascular smooth muscle contracts and dilates, which changes the diameter of the arteries to
control the rate of blood flow.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
2. The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the
___________ artery.
a. Ulnar
b. Radial
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c. Brachial
d. Deep palmar
ANS: C
The major artery supplying the arm is the brachial artery. The brachial artery bifurcates into
the ulnar and radial arteries immediately below the elbow. In the hand, the ulnar and radial
arteries form two arches known as the superficial and deep palmar arches.
DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General
3. The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for
palpation?
a. Behind the knee
b. Over the lateral malleolus
c. In the groove behind the medial malleolus
d. Lateral to the extensor tendon of the great toe
ANS: D
The dorsalis pedis artery is located on the dorsum of the foot. The nurse should palpate just
lateral to and parallel with the extensor tendon of the big toe. The popliteal artery is palpated
behind the knee. The posterior tibial pulse is palpated in the groove between the malleolus and
the Achilles tendon. No pulse is palpated at the lateral malleolus.
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, Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
4. A 65-year-old patient is experiencing pain in his left calf when he exercises, but the pain
disappears after resting for a few minutes. The nurse recognizes that this description is most
consistent with ___________ the left leg.
a. Venous obstruction of
b. Claudication caused by venous abnormalities in
c. Ischemia caused by a partial blockage of an artery supplying
d. Ischemia caused by the complete blockage of an artery supplying
ANS: C
Ischemia is a deficient supply of oxygenated arterial blood to a tissue. A partial blockage
creates an insufficient supply, and the ischemia may be apparent only during exercise when
oxygen needs increase.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5. The nurse is reviewing venous blood flow patterns. Which of these statements best describes
the mechanism(s) by which venous blood returns to the heart?
a. Intraluminal valves ensure unidirectional flow toward the heart.
b. Contracting skeletal muscles milk blood distally toward the veins.
c. High-pressure system of the heart helps facilitate venous return.
d. Increased thoracic pressure and decreased abdominal pressure facilitate venous
return to the heart.
ANS: A
Blood moves through the veinsNUbyRS(1)
INcontracting
GTB.COskeletal
M muscles that proximally milk
blood; (2) pressure gradients caused by breathing, during which inspiration makes the thoracic
pressure decrease and the abdominal pressure increase; and (3) the intraluminal valves, which
ensure unidirectional flow toward the heart.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
6. Which vein(s) is (are) responsible for most of the venous return in the arm?
a. Deep
b. Ulnar
c. Subclavian
d. Superficial
ANS: D
The superficial veins of the arms are in the subcutaneous tissue and are responsible for most
of the venous return.
DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General
7. A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great
saphenous vein for the coronary bypass grafts. The patient asks, “What happens to my
circulation when this vein is removed?” The nurse should reply:
a. “Venous insufficiency is a common problem after this type of surgery.”
b. “Oh, you have lots of veins—you won’t even notice that it has been removed.”
c. “You will probably experience decreased circulation after the vein is removed.”
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Chapter 21: Peripheral Vascular System and Lymphatic System
Jarvis: Physical Examination & Health Assessment, 3rd Canadian edition
MULTIPLE CHOICE
1. As the arteries are the vessels through which the heart pumps oxygenated blood to the body, it
is important that arteries are:
a. Large in diameter
b. Strong tough and tense
c. Thinner walled vessels
d. Controlled by skeletal muscles
ANS: B
The heart pumps freshly oxygenated blood through the arteries to all body tissues. The
pumping of the heart makes this a high-pressure system. The artery walls are strong, tough,
and tense to withstand pressure demands. Arteries contain elastic fibres, which allow their
walls to stretch with systole and recoil with diastole. Arteries also contain muscle fibres
(vascular smooth muscle), which control the amount of blood delivered to the tissues. The
vascular smooth muscle contracts and dilates, which changes the diameter of the arteries to
control the rate of blood flow.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
2. The nurse is reviewing the blood supply to the arm. The major artery supplying the arm is the
___________ artery.
a. Ulnar
b. Radial
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c. Brachial
d. Deep palmar
ANS: C
The major artery supplying the arm is the brachial artery. The brachial artery bifurcates into
the ulnar and radial arteries immediately below the elbow. In the hand, the ulnar and radial
arteries form two arches known as the superficial and deep palmar arches.
DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General
3. The nurse is preparing to assess the dorsalis pedis artery. Where is the correct location for
palpation?
a. Behind the knee
b. Over the lateral malleolus
c. In the groove behind the medial malleolus
d. Lateral to the extensor tendon of the great toe
ANS: D
The dorsalis pedis artery is located on the dorsum of the foot. The nurse should palpate just
lateral to and parallel with the extensor tendon of the big toe. The popliteal artery is palpated
behind the knee. The posterior tibial pulse is palpated in the groove between the malleolus and
the Achilles tendon. No pulse is palpated at the lateral malleolus.
NURSINGTB.COM
, Physical Examination and Health Assessment CANADIAN 3rd Edition Jarvis Test Bank
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
4. A 65-year-old patient is experiencing pain in his left calf when he exercises, but the pain
disappears after resting for a few minutes. The nurse recognizes that this description is most
consistent with ___________ the left leg.
a. Venous obstruction of
b. Claudication caused by venous abnormalities in
c. Ischemia caused by a partial blockage of an artery supplying
d. Ischemia caused by the complete blockage of an artery supplying
ANS: C
Ischemia is a deficient supply of oxygenated arterial blood to a tissue. A partial blockage
creates an insufficient supply, and the ischemia may be apparent only during exercise when
oxygen needs increase.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
5. The nurse is reviewing venous blood flow patterns. Which of these statements best describes
the mechanism(s) by which venous blood returns to the heart?
a. Intraluminal valves ensure unidirectional flow toward the heart.
b. Contracting skeletal muscles milk blood distally toward the veins.
c. High-pressure system of the heart helps facilitate venous return.
d. Increased thoracic pressure and decreased abdominal pressure facilitate venous
return to the heart.
ANS: A
Blood moves through the veinsNUbyRS(1)
INcontracting
GTB.COskeletal
M muscles that proximally milk
blood; (2) pressure gradients caused by breathing, during which inspiration makes the thoracic
pressure decrease and the abdominal pressure increase; and (3) the intraluminal valves, which
ensure unidirectional flow toward the heart.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
6. Which vein(s) is (are) responsible for most of the venous return in the arm?
a. Deep
b. Ulnar
c. Subclavian
d. Superficial
ANS: D
The superficial veins of the arms are in the subcutaneous tissue and are responsible for most
of the venous return.
DIF: Cognitive Level: Remembering (Knowledge) MSC: Client Needs: General
7. A 70-year-old patient is scheduled for open-heart surgery. The surgeon plans to use the great
saphenous vein for the coronary bypass grafts. The patient asks, “What happens to my
circulation when this vein is removed?” The nurse should reply:
a. “Venous insufficiency is a common problem after this type of surgery.”
b. “Oh, you have lots of veins—you won’t even notice that it has been removed.”
c. “You will probably experience decreased circulation after the vein is removed.”
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